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Some of the roles that cyanocobalamin serves in the body include: Cofactor for methionine synthase and L-methymalonyl-CoA mutase

In adults with dietary pyridoxine deficiency (often manifesting as anemia, dermatitis, or neuropathy), a typical regimen is 10 mg to 20 mg of pyridoxine HCl given intramuscularly or intravenously once daily for approximately 3 weeks